Revised week 8 Flashcards
What drugs should you avoid grapefruit
Amiodarone
Verapamil, diltiazem
Effects of beta blockers on diabetics and absorption of insulin
Enhances the effects of hypoglycemics
Could increase blood glucose
What medications are used to treat bradycardia
atropine, epinephrine, and dopamine (?)
Therapeutic levels of digoxin
0.5-2
Antidote to digoxin
Digibind
nursing interventions and precautions for Warfarin
monitor pt/ inr; avoid vitamin k supplements and protein supplement drinks, and limit intake of garlic
nursing intervention and precautions for clopidrogrel (Plavix)
stop 5 days before surgery; asians have decreased response; hold pressure for longer period
nursing interventions and precautions for altepase (activase)
check vs q 15 minutes, bedrest, hold pressure x 30 minutes, no im/sq injections
Normal troponin levels
0-0.4
Normal BNP
less than 100
Why shouldn’t pts with asthma or COPD take beta blockers
Bronchospasm
Side effects of ACE inhibitors (lisinopril, captopril, zestril)
cough, headache, dizziness, orthostatic hypotension, first-dose phenomenon, hyperkalemia; Serious adverse effect-angioedema
Food and medications to avoid when taking blood thinners
avoid vitamin k supplements* and protein supplement drinks, and limit intake of garlic. do not administer in patients with an epidural
chronic conditions that lead to heart failure
mitral stenosis, myocardial infarction (MI), chronic hypertension (HTN), coronary artery disease (CAD), diabetes mellitus
Actions to take when anti-dysrythmic med error occurs
- Vs
- Continuous EKG
- Vasopressors for hypotension
- Atropine for bradycardia
Adverse effects of cardiac glycosides
n/v dysrythmia, visual disturbances(halos,yellow-green tinge, blurring)
dysrhythmias especially in the presence of hypokalemia**
Adverse effects of beta blockers
bradycardia, orthostatic hypotension, abnormal sexual function, drowsiness, fatigue
Adverse effects of Heparin
abnormal bleeding and heparin-induced thrombocytopenia (HIT), results in the opposite effect of excessive bleeding
Adverse effects of clopidrogrel (Plavix)
abnormal bleeding, flulike syndrome, headache, dizziness, bruising, and rash or pruritus, tcp
Which medications can mask hypoglycemia
beta blockers
what medication can increase digoxin toxicity by 70%, increases effects of coumadin
amiodarone
Which toxicity could occur when taking amiodarone
pulmonary
